Experimental antibody GNR-084 tested against Hard-to-Treat leukemia
NCT ID NCT04601584
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing an experimental antibody called GNR-084 in adults with B-cell acute lymphoblastic leukemia that has come back or stopped responding to treatment. The trial enrolls 14 people aged 18 to 45 who have already received at least two prior therapies. Participants receive weekly intravenous infusions of GNR-084 at increasing doses to assess the drug's safety, tolerability, and how the body processes it.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental anti-CD19/CD3 bispecific antibody called GNR-084
- What this could lead to
- If it works, this could offer a new targeted option for adults whose B-cell acute lymphoblastic leukemia has come back or stopped responding to standard therapy.
- What could go wrong
- This is a very small, early-stage trial testing safety and dosing, so it may not show clear benefit. Bispecific antibodies can cause serious immune reactions, and the trial enrolls only 14 people.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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14 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Dec 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Voluntarily signed informed consent form to participate in the study; 2. Men and women between aged 18 to 45 inclusive; 3. Patients with incurable morphologically / immunophenotypically confirmed refractory/ relapse of B-cell precursors CD19-positive acute lymphoblastic leukemia from (Ph "-" or Ph "+"). 4. Two or more previous lines of anti-leucosis therapy. 5. 5-50% of bone marrow blast cells at screening; 6. Functional status on the scale of the Eastern Cooperative Oncology Group (ECOG) 0-2 points at the screening; 7. Life expectancy ≥ 60 days; Exclusion Criteria: 1. Hematopoietic stem cells transplantation within 12 weeks prior to study inclusion; 2. Active and widespread chronic graft versus host (GVHD) reaction (grade II-IV), including taking immunosuppressants for the prevention and treatment of GVHD within 2 weeks prior the GNR-084 infusion; 3. Investigator and / or sponsor has doubts that patient will complete the study due to rapid disease progression; 4. Chemotherapeutic agent using within 14 days prior the first GNR-084 infusion; Exceptions: * Emergency leukapheresis; * Emergency hydroxyurea using due to hyperleukocytosis for ≤ 7 days; * Other supportive care, including antibiotics, at Investigator's discretion 5. Biochemical blood test: * The level of total bilirubin\> 1.5 upper limit of norm; * Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT)\> 3 upper limit of norm; * Glomerular filtration rate (GFR) level ≤30 (СKD-EPI) 6. Medical history of blinatumomab and other bispecific antibodies using; 7. Persistent toxicity event of 3rd and 4th severity degrees (CTCAE ver 5.0) due to previous treatment; 8. HIV-positive status and / or detection of any hepatitis B and / or hepatitis C blood markers; 9. Severe cardiovascular diseases: uncontrolled arterial hypertension, New York Heart Association (NYHA) functional class III or IV chronic heart failure, unstable angina pectoris, stroke, myocardial infarction, transient ischemic attack, coronary artery bypass grafting and coronary revascularization within last 12 months, or signs of pericardial effusion; 10. Individual sensitivity to: * GNR-084 components / excipients; * human or humanized investigational drug antibodies; 11. Major surgical interventions, accompanied by hospitalization and anesthesia application within 30 days before the patient is included in the study (biopsy is not a significant surgical intervention); 12. Any other malignant neoplasm presence at the present time or within 5 years prior to inclusion in the study; 13. Known suspected Central Nervous System (CNS) lesion by any genesis now or in medical history, including, but not limited to: neuroleukemia, epilepsy, ischemic or hemorrhagic stroke, severe traumatic brain injury, dementia, Parkinson's disease, organic brain damage, cerebellar disorders, psychosis; 14. Extramedullary lesion of any localization; 15. Other clinical trials participation within 30 days before screening; 16. Mental, physical and other reasons hindering patient to adequately assess their behavior and correctly comply with the conditions of the research protocol; 17. Pregnancy and / or lactation; 18. Male and female patients refusal to use adequate methods of contraception throughout the study; 19. Drug addiction; 20. Alcohol addiction.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Almazov National Medical Research Centre
Saint Petersburg, 191014, Russia
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Federal State Budget Funded Institution National Medical Research Center of Hematology, Ministry of Health of the Russian Federation (MoH of Russia)
Moscow, 125167, Russia
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Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022, Russia
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